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1720043599
MANNIE JOEL
SAN LEANDRO, CA
NPI
1720043599
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: CA A34460)
Enumeration Date
2006-04-17
Last Update Date
2010-06-30
Business Address
Dr. MANNIE JOEL M.D.
15035 E 14TH ST
SAN LEANDRO, CA 94578-1901
Phone number: 510-278-0226
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Mailing Address
Dr. MANNIE JOEL M.D.
15035 E 14TH ST
SAN LEANDRO, CA 94578-1901
Phone number: 510-278-0226
Copy
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